Active NPI
Sara Connemara, MS, CCC-SLP
- Speech-Language Pathologist
- Mequon, WI
National Provider Identifier
1174699474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146008290
- Practice address
- 1017 W Glen Oaks LN Ste 140
Mequon, WI 53092-3371 - Phone
- (414) 533-8050
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146008290 | IL | Primary |
Addresses
Primary practice location
1017 W Glen Oaks LN Ste 140
Mequon, WI 53092-3371
Mailing address
833 E Glenbrook Rd
Bayside, WI 53217-1436
Phone (414) 687-5986
Other practice location 1
2901 Finley Rd
Suite 102
Downers Grove, IL 60515-1041
Phone (630) 495-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146008290 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloom Speech Therapy LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Therapeutic Strategies, Inc | Speech-Language Pathologist | Past | Accepting new patients |
| Communication and Feeding Specialists LLC | Past | Accepting new patients | |
| Curative Care Network, Inc. | Past | Accepting new patients |
Locations
1017 W Glen Oaks Ln
Ste 140
Mequon, WI 53092
Phone (414) 533-8050
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Mequon, WI
- NPI 1033852801
-
- Hearing and Speech Clinic/Center
- Wauwatosa, WI
- NPI 1548827249
-
- Rehabilitation Clinic/Center
- Milwaukee, WI
- NPI 1083755177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1174699474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 E GLENBROOK RD",
"city": "BAYSIDE",
"state": "WI",
"postal_code": "532171436",
"telephone_number": "414-687-5986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 W GLEN OAKS LN STE 140",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923371",
"telephone_number": "414-533-8050"
}
],
"practiceLocations": [
{
"address_1": "2901 Finley Rd",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "Downers Grove",
"state": "IL",
"postal_code": "605151041",
"country_code": "US",
"telephone_number": "630-495-6800",
"fax_number": "630-495-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONNEMARA",
"first_name": "SARA",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146008290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.